1. Home
  2. Directory
  3. New York
  4. Great Neck
  5. Pediatrics
  6. NPI Profile

VINCENT R BONAGURA MD
NPI 1568556629
Pediatrics - Pediatric Allergy/Immunology in Great Neck, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
865 NORTHERN BLVD, SUITE 101, GREAT NECK, NY 11021(516) 622-5070(516) 622-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vincent R Bonagura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT R BONAGURA MD (NPI 1568556629) is an individual pediatric allergy/immunology provider in Great Neck, New York, licensed in New York (127269) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1974).

NPPES Registry Identity

NPI1568556629
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameVINCENT R BONAGURACredential: MD
Location Address865 NORTHERN BLVD, SUITE 101Great Neck, NY 11021-5310
Mailing Address175 Community Dr, 2nd FloorGreat Neck, NY 11021-5502 · (516) 465-1900 · Fax (516) 465-1830
Phone(516) 622-5070
Fax(516) 622-5060
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1974
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568556629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in NY · 127269
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
865 NORTHERN BLVD, Great Neck, NY 11021
Open in Google Maps ↗

Other Identifiers 4

Medicaid00828937NY
Medicare UPINB17087
Medicare ID-Type Unspecified61A461
Medicare ID-Type Unspecified06321

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vincent R Bonagura Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012992134
PECOS Enrollment IDI20040622001732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services27 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
6 suppliers64 claims187 services$18.40 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
3 suppliers24 claims35 services$33.30 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
6 suppliers82 claims22,480 services$9.51 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
5 suppliers44 claims377 services$2.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VALERIE M MUOIO M.D.
Obstetrics & Gynecology
865 NORTHERN BLVD, SUITE 202
GREAT NECK, NY 11021
Nassau County (516) 622-5100
SARAH HASENEY NP
Nurse Practitioner (Women's Health)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 622-5155
YAN YAN SALLY XIE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
865 NORTHERN BLVD, 203
GREAT NECK, NY 11021
Nassau County (516) 708-2540
GRACE COUCH FNP
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 622-5114
NIDHI VOHRA M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 622-5155
RIMA GHAMRAWI DO
Student in an Organized Health Care Education/Training Program
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 562-2944
YZZA JOYCE ALCALDE DNP, FNP-BC
Nurse Practitioner (Family)
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 622-5070
DR. PAULINE LEONG MD
Internal Medicine
865 NORTHERN BLVD
GREAT NECK, NY 11021
Nassau County (516) 622-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Bonagura's NPI number?

The NPI number for Vincent Bonagura is 1568556629. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Vincent Bonagura located?

Vincent Bonagura practices at 865 Northern Blvd Suite 101, Great Neck, NY 11021. The listed phone number is (516) 622-5070.

What is Vincent Bonagura's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Vincent Bonagura enrolled in Medicare?

Yes. Vincent Bonagura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vincent Bonagura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.